Holly Renee Broadwater in Johnson City - Pain Medicine
Holly Renee Broadwater - NPI 1134164205
Holly Renee Broadwater is a Pain Medicine in Johnson City, Tennessee. Holly Renee Broadwater practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Holly Renee Broadwater is 1134164205. The last update date is 2022-06-01.
Holly Renee Broadwater's current location address is 101 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4232326120. The mailing address for Holly Renee Broadwater is 101 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Renee Broadwater |
|---|---|
| Address | 101 Med Tech Pkwy, Johnson City, Tennessee |
| Phone Number | 4232326120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1134164205 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2022-06-01 |
Provider Mailing Address Detail
| Address | 101 Med Tech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376044007 |
| Phone Number | 4232326120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 0370804-22 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00102426 | TN | MEDICARE RAILROAD | |
| TN0123 | TN | JOHN DEERE (KPT) | |
| 4078380 | TN | BLUE CROSS/BLUE SHIELD | |
| 1512908 | TN | -- | |
| TN0122 | TN | JOHN DEERE (JC) |
Post Comment/ Review Below
What is the unique provider identifier assigned to Holly Renee Broadwater?
The Holly Renee Broadwater has been issued the NPI (National Provider Identifier) 1134164205 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Holly Renee Broadwater is located?
The Holly Renee Broadwater is situated at the following address: 101 Med Tech Pkwy, Johnson City, TN, 376044007.
What is Holly Renee Broadwater's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Holly Renee Broadwater is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081P2900X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134164205 to Holly Renee Broadwater?
The Centers for Medicare & Medicaid Services assigned the 1134164205 to Holly Renee Broadwater on 2006-06-20.
When was the Holly Renee Broadwater's information last updated?
The Holly Renee Broadwater's information was last updated on 2022-06-01.